| NPI | 1487995742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SORGENT Director 414-587-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: WI 146573-30) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WI 146573-30) |
| 305S00000X Point of Service (Licence: WI 146573-30) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-11-20 |